Rushil Desai

SVP, Sector General Manager Gainwell Technologies

Rushil Desai serves as Senior Vice President & Sector General Manager at Gainwell Technologies, leading strategy, growth, and performance for state Medicaid programs nationwide. Desai partners with public sector clients to modernize healthcare, advance health equity, and improve outcomes at scale. Previously, he served as President & CEO of Aetna Better Health of Illinois, where he led Aetna’s largest managed care organization, serving 400,000+ Medicaid members. His leadership during the COVID-19 pandemic earned recognition from the White House and the Institute for Medicaid Innovation. With 15+ years in government-sponsored managed care, Desai has held senior roles at CVS Health, Centene, and Trexin Consulting — driving operational excellence, value-based care partnerships, and innovative health strategies.